Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Timothy David Henson, LMSW

Individual provider Clinical Social Worker · NPI 1801228051

Timothy David Henson, LMSW is a Clinical Social Worker in Portage, Michigan. Qualified in 2013, 13 years ago. Practices with Diane M Kanous, a 6-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
13
Licensed in
MI
In the registry since
2013
What do these letters mean?
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.

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Practice location Address checks out

1651 W Centre Ave Ste 203
Portage, MI 49024-6313
Phone: (269) 360-2618
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 6801095617 (MI)

Record details

NPI number1801228051
Entity typeIndividual (Type 1)
GenderMale
Credentials LMSW
Sole proprietorYes
NPI enumeratedJuly 30, 2013
Last updated in NPPESMay 15, 2026
Certification dateMay 15, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Diane M Kanous — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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